Individual
GUADALUPE FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 N BLACKSTONE AVE, FRESNO, CA 93701-1913
(559) 270-0299
Mailing address
258 N BLACKSTONE AVE, FRESNO, CA 93701-1913
(559) 270-0299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/19/2019
Last updated
10/14/2019
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